Mackenbach J P
Erasmus MC, afd. Maatschappelijke Gezondheidszorg, Postbus 1738, 3000 DR Rotterdam.
Ned Tijdschr Geneeskd. 2005 Nov 12;149(46):2550-3.
The Netherlands was home to the oldest living individual in the world, Mrs. Hendrikje van Andel-Schipper, until she died at the age of 115 years on 30 August 2005. She illustrated the remarkable increase in centenarians in many European countries resulting from substantial increases in life expectancy at birth. In 2004, life expectancy at birth in the Netherlands reached a record high of 76.9 years for men and 81.4 years for women. These developments raise important questions on the potential for further increases in life expectancy. Based on an extrapolation of recent trends in cause-specific mortality, Netherlands Statistics predicts an increase in life expectancy of 2 to 3 years in the half-century between 2004 and 2050. Experts are deeply divided about the prospects for further increases in life expectancy. Some have argued that such estimates are too optimistic because, for example, the obesity epidemic might even reduce average life expectancy in the future. Others consider these estimates too pessimistic because, for example, previous estimates of limits to life expectancy have almost always been surpassed. Even relatively modest increases in life expectancy at birth, however, will pose important challenges to health care, social services and pension arrangements.
直到2005年8月30日以115岁高龄去世前,世界上最长寿的人亨德里克耶·范·安德尔-席珀夫人一直生活在荷兰。她证明了许多欧洲国家百岁老人数量显著增加,这是由于出生时预期寿命大幅提高所致。2004年,荷兰男性出生时预期寿命达到创纪录的76.9岁,女性为81.4岁。这些发展引发了关于预期寿命进一步提高潜力的重要问题。基于对特定病因死亡率近期趋势的推断,荷兰统计局预计在2004年至2050年的半个世纪里,预期寿命将增加2至3岁。专家们对预期寿命进一步提高的前景存在严重分歧。一些人认为这样的估计过于乐观,因为比如肥胖症流行甚至可能在未来降低平均预期寿命。另一些人则认为这些估计过于悲观,因为比如以前对预期寿命极限的估计几乎总是被突破。然而,即使出生时预期寿命相对小幅的提高,也将给医疗保健、社会服务和养老金安排带来重大挑战。